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Määttä, Sylvia
Publications (10 of 15) Show all publications
Henricson, M., Segesten, K., Berglund, A.-L. & Määttä, S. (2009). Enjoying tactile touch and gaining hope when being cared for in intensive care: A phenomenological hermeneutical study. Intensive & Critical Care Nursing, 25(6), 323-331
Open this publication in new window or tab >>Enjoying tactile touch and gaining hope when being cared for in intensive care: A phenomenological hermeneutical study
2009 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 25, no 6, p. 323-331Article in journal (Refereed)
Abstract [en]

Touch has been a part of the healing process in many civilisations and cultures throughout the centuries. Nurses frequently use touch to provide comfort and reach their patients. The aim of this study was to illuminate the meaning of receiving tactile touch when being cared for in an intensive care unit. Tactile touch is a complementary method including the use of effleurage, which means soft stroking movements along the body. The context used to illuminate the meaning of receiving tactile touch was two general intensive care units (ICUs). Six patients, who have been cared for in the two ICUs, participated in the study. A phenomenological–hermeneutical method based on the philosophy of Ricoeur and developed for nursing research by Lindseth and Norberg [Lindseth A, Norberg A. A phenomenological hermeneutical method for researching lived experience. Scandinavian Journal of Caring Sciences, 2004;18:145–53] was chosen for the analysis. Data consisted of narratives, which were analysed in three recurring phases: naïve understanding, structural analyses and comprehensive understanding. Two main themes were found: being connected to oneself and being unable to gain and maintain pleasure. The comprehensive understanding of receiving tactile touch during intensive care seems to be an expression of enjoying tactile touch and gaining hope for the future. This study reveals that it is possible to experience moments of pleasure in the midst of being a severely ill patient at an ICU and, through this experience also gain hope.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Ltd., 2009
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hb:diva-2643 (URN)10.1016/j.iccn.2009.07.001 (DOI)2320/5645 (Local ID)2320/5645 (Archive number)2320/5645 (OAI)
Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2017-12-01
Billhult, A. & Määttä, S. (2009). Light pressure massage for patients with severe anxiety. Complementary Therapies in Clinical Practice, 15(2), 96-101
Open this publication in new window or tab >>Light pressure massage for patients with severe anxiety
2009 (English)In: Complementary Therapies in Clinical Practice, ISSN 1744-3881, E-ISSN 1873-6947, Vol. 15, no 2, p. 96-101Article in journal (Refereed) Published
Abstract [en]

Generalised anxiety disorder (GAD) is common in the western world with a lifetime prevalence of 4.3 to 5.9% and is twice as common in women as in men. GAD can have a decisive impact on a patient's everyday life as it is surrounded by unfocused worries and the severe anxiety may interfere with normal social functions. The treatments include cognitive behavioural therapy and/or psychopharmacological drugs. In previous studies the positive effects of massage on anxiety have been shown. The present study described the experience of receiving massage for eight patients with GAD. Findings revealed that the patients were able to rediscover their own capacity during the massage period. This was illuminated by the experience of being relaxed in body and mind, the experience of unconditional attention, the experience of decreased anxiety and the experience of increased self-confidence. The paper ends with a discussion of clinical implications.

Place, publisher, year, edition, pages
Churchill Livingstone, 2009
Keywords
massage, fenomenologi, ångest, erfarenhet
National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-2821 (URN)10.1016/j.ctcp.2008.10.003 (DOI)2320/6658 (Local ID)2320/6658 (Archive number)2320/6658 (OAI)
Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2017-11-16Bibliographically approved
Öresland, S., Määttä, S., Norberg, A. & Lützén, K. (2009). Patients as 'Safeguard' and Nurses as 'Substitute' in Home Health Care. Nursing Ethics, 16(2), 219-230
Open this publication in new window or tab >>Patients as 'Safeguard' and Nurses as 'Substitute' in Home Health Care
2009 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 16, no 2, p. 219-230Article in journal (Refereed) Published
Abstract [en]

One aim of this study was to explore the role, or subject position, patients take in the care they receive from nurses in their own home. Another was to examine the subject position that patients say the nurses take when giving care to them in their own home. Ten interviews were analysed and interpreted according to a discourse analytical method. The findings show that patients constructed their subject position as ‘safeguard’, and the nurses’ subject position as ‘substitute’ for themselves. These subject positions provided the opportunities, and the obstacles, for the patients’ possibilities to receive care in their home. The subject positions described have ethical repercussions and illuminate that the patients put great demands on tailored care.

Place, publisher, year, edition, pages
Sage Publications Ltd., 2009
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hb:diva-2622 (URN)10.1177/0969733008100081 (DOI)2320/5423 (Local ID)2320/5423 (Archive number)2320/5423 (OAI)
Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2017-12-01Bibliographically approved
Gustavsson-Karlsson, C., Olsson, M. & Määttä, S. (2009). Upplevelser hos patienter med diabetes av att delta i samlat årsbesök. Vård i Norden, 3, 47-50
Open this publication in new window or tab >>Upplevelser hos patienter med diabetes av att delta i samlat årsbesök
2009 (Swedish)In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 3, p. 47-50Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Sykepleiernes Samarbeid i Norden, 2009
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hb:diva-2631 (URN)2320/5500 (Local ID)2320/5500 (Archive number)2320/5500 (OAI)
Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2017-12-01Bibliographically approved
Karlsson, C., Olsson, M. & Määttä, S. (2008). Effekter av samlat årsbesök hos patienter med diabetes. Diabetolognytt, 21(5-6)
Open this publication in new window or tab >>Effekter av samlat årsbesök hos patienter med diabetes
2008 (Swedish)In: Diabetolognytt, ISSN 1401-2618, Vol. 21, no 5-6Article in journal (Other (popular science, discussion, etc.)) Published
Place, publisher, year, edition, pages
Svensk förening för diabetologi, 2008
National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-2524 (URN)2320/4461 (Local ID)2320/4461 (Archive number)2320/4461 (OAI)
Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2018-03-15Bibliographically approved
Karlsson, C., Olsson, M. & Määttä, S. (2008). Effekter av samlat återbesök för diabetespatienter. Diabetesvård
Open this publication in new window or tab >>Effekter av samlat återbesök för diabetespatienter
2008 (Swedish)In: Diabetesvård, ISSN 1652-697XArticle in journal (Other (popular science, discussion, etc.)) Published
Place, publisher, year, edition, pages
Svensk förening i diabetesvård, 2008
National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-2520 (URN)2320/4447 (Local ID)2320/4447 (Archive number)2320/4447 (OAI)
Note

Specialtidning för sjuksköterskor inom diabetesvård.

Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2018-03-15Bibliographically approved
Öresland, S., Määttä, S., Norberg, A., Winther Jörgensen, M. & Lützén, K. (2008). Nurses as guests or professionals in home health care. Nursing Ethics, 15(3), 371-383
Open this publication in new window or tab >>Nurses as guests or professionals in home health care
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2008 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 15, no 3, p. 371-383Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to explore and interpret the diverse subject of positions, or roles, that nurses construct when caring for patients in their own home. Ten interviews were analysed and interpreted using discourse analysis. The findings show that these nurses working in home care constructed two positions: `guest' and `professional'. They had to make a choice between these positions because it was impossible to be both at the same time. An ethics of care and an ethics of justice were present in these positions, both of which create diverse ethical appeals, that is, implicit demands to perform according to a guest or to a professional norm.

Place, publisher, year, edition, pages
Sage Publications Ltd., 2008
National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-2449 (URN)10.1177/0969733007088361 (DOI)2320/4142 (Local ID)2320/4142 (Archive number)2320/4142 (OAI)
Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2017-12-01Bibliographically approved
Henricsson, M., Berglund, A.-L., Määttä, S., Segesten, K. & Ekman, R. (2008). The outcome of tactile touch on oxytocin in intensive care patients: a randomised controlled trial. Journal of Clinical Nursing, 17(19), 2624-2633
Open this publication in new window or tab >>The outcome of tactile touch on oxytocin in intensive care patients: a randomised controlled trial
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2008 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 17, no 19, p. 2624-2633Article in journal (Refereed) Published
Abstract [en]

Aim. To explore the effects of five-day tactile touch intervention on oxytocin in intensive care patients. The hypotheses were that tactile touch increases the levels of oxytocin after intervention and over a six-day period. Background. Research on both humans and animals shows a correlation between touch and increased levels of oxytocin which inspired us to measure the levels of oxytocin in arterial blood to obtain information about the physiological effect of tactile touch. Design. Randomised controlled trial. Method. Forty-four patients from two general intensive care units, were randomly assigned to either tactile touch (n = 21) or standard treatment - an hour of rest (n = 23). Arterial blood was drawn for measurement of oxytocin, before and after both treatments. Results. No significant mean changes in oxytocin levels were found from day 1 to day 6 in the intervention group (mean -3.0 pM, SD 16.8). In the control group, there was a significant (p = 0.01) decrease in oxytocin levels from day 1 to day 6, mean 26.4 pM (SD 74.1). There were no significant differences in changes between day 1 and day 6 when comparing the intervention group and control group, mean 23.4 pM (95% CI -20.2-67.0). Conclusion. Our hypothesis that tactile touch increases the levels of oxytocin in patients at intensive care units was not confirmed. An interesting observation was the decrease levels of oxytocin over the six-day period in the control group, which was not observed in the intervention group. Relevance to clinical practice. Tactile touch seemed to reduce the activity of the sympathetic nervous system. Further and larger studies are needed in intensive care units to confirm/evaluate tactile touch as a complementary caring act for critically ill patients.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Ltd., 2008
Keywords
Vårdvetenskap
National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-2473 (URN)10.1111/j.1365-2702.2008.02324.x (DOI)2320/4275 (Local ID)2320/4275 (Archive number)2320/4275 (OAI)
Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2017-11-29Bibliographically approved
Henricsson, M., Ersson, A., Määttä, S., Segesten, K. & Berglund, A.-L. (2008). The outcome of tactile touch to intensive care patients on bodily expressions: a randomized controlled trial. Complementary Therapies in Clinical Practice, 14(4), 244-254
Open this publication in new window or tab >>The outcome of tactile touch to intensive care patients on bodily expressions: a randomized controlled trial
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2008 (English)In: Complementary Therapies in Clinical Practice, ISSN 1744-3881, E-ISSN 1873-6947, Vol. 14, no 4, p. 244-254Article in journal (Refereed) Published
Abstract [en]

The study aimed to investigate the effects of a five-day tactile touch intervention in order to find new and unconventional measures to moderate the detrimental influence of patients’ stressors during intensive care. The hypothesis was that tactile touch would decrease stress indicators such as anxiety, glucose metabolism, blood pressure, heart rate and requirements of sedative drugs and noradrenalin. A randomized controlled trial was undertaken with 44 patients, which were assigned either to tactile touch or standard treatment (a rest hour). Observations of the stress indicators were made before, during and after the intervention or standard treatment. The study showed that tactile touch led to significantly lower levels of anxiety. The circulatory parameters suggested increased circulatory stability indicated by a reduction in noradrenalin requirement. The results need to be further validated through studies with larger sample sizes.

Place, publisher, year, edition, pages
Churchill Livingstone, 2008
Keywords
Vårdvetenskap
National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-2472 (URN)10.1016/j.ctcp.2008.03.003 (DOI)2320/4274 (Local ID)2320/4274 (Archive number)2320/4274 (OAI)
Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2017-11-29Bibliographically approved
Määttä, S. & Segesten, K. (2007). En bok om vårdens språk. In: Vårdens språk - en antologi: (pp. 9-17). Liber
Open this publication in new window or tab >>En bok om vårdens språk
2007 (Swedish)In: Vårdens språk - en antologi, Liber , 2007, p. 9-17Chapter in book (Other academic)
Place, publisher, year, edition, pages
Liber, 2007
National Category
Social Sciences Interdisciplinary Nursing
Identifiers
urn:nbn:se:hb:diva-4722 (URN)2320/2770 (Local ID)9789147084159 (ISBN)2320/2770 (Archive number)2320/2770 (OAI)
Available from: 2015-12-17 Created: 2015-12-17 Last updated: 2018-01-10Bibliographically approved
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